STUDENT INTAKE FORM

NAME:

DATE:

1. How did you find out about this class?
2. Why did you enroll in this class?
3. What do you want to do when you get your diploma?
4. Have you thought about going to a vocational school, community college, or university?
5. What would you be interested in studying?
6. What do you like to do in your spare time?
7. Are you working now?
   Do you plan to keep working at this same job?
8. What other types of jobs would you like to do?
9. What types of careers would you like to know more about?
10. What are your plans for the future?
11. What would you like to be doing one year from now?
12. What is your plan for achieving these things in one year?
13. What would you like to be doing three years from now?
14. What is your plan for achieving these things in three years?